Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.98 / $3,237.00 / $7,119.04	Facility		$632.98	$3,237.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $311.06 / $531.67	Professional		$208.61	$311.06	$531.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.44 / $541.23 / $688.53	Professional		$400.44	$541.23	$688.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $342.90 / $575.66	Professional		$212.72	$342.90	$575.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $519.64 / $4,110.10	Facility		$263.39	$519.64	$4,110.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $518.02 / $1,660.74	Professional		$255.49	$518.02	$1,660.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.09 / $486.76 / $634.05	Facility		$209.09	$486.76	$634.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $519.64 / $644.35	Professional		$385.00	$519.64	$644.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $330.17 / $432.34	Professional		$204.63	$330.17	$432.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $5,854.53 / $7,407.10	Facility		$3,200.82	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $235.46 / $358.80 / $668.27	Professional		$235.46	$358.80	$668.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.98 / $458.20 / $539.10	Professional		$361.98	$458.20	$539.10